의도적 중독으로 응급센터에 내원한 환자에 대한 연령별 비교 분석Comparison of Epidemiology and Outcomes of Patients with Intentional Poisoning by Age Groups: Single Center Observation Study
- Other Titles
- Comparison of Epidemiology and Outcomes of Patients with Intentional Poisoning by Age Groups: Single Center Observation Study
- Authors
- 김진현; 조진성; 김진주; 임용수; 양혁준; 이근
- Issue Date
- Dec-2016
- Publisher
- 대한임상독성학회
- Keywords
- Poisoning; Intention; Mortality
- Citation
- 대한임상독성학회지, v.14, no.2, pp.129 - 135
- Journal Title
- 대한임상독성학회지
- Volume
- 14
- Number
- 2
- Start Page
- 129
- End Page
- 135
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/8945
- DOI
- 10.22537/jksct.2016.14.2.129
- ISSN
- 1738-1320
- Abstract
- Purpose: This study was conducted to compare demographic and characteristic differences in self-poisoned patients by age groups using a comprehensive trauma database.
Methods: This study included 1,823 patients who were admitted to the emergency room following self-poisoning. Three age groups were defined: young patients (less than 19 years), adult patients (19 to 64 years) and elderly patients (65 years and old). From January 2011 to December 2015, data were obtained from in a single emergency medical center. We investigated the materials of poisoning, ingestion time, GCS, systolic blood pressure, heart rate, and outcomes of patients.
Results: A total of 1,823 self-poisoned patients visited the hospital during 5 years. Among these, 130 (7.1%) were categorized as young, 1,460 (80.1%) were adults and 233 (12.8%) were elderly. The most common drug of self-poisoning substances was antipyretics (50.0%) for those in the young group, sedative drugs (45.0%) for adults, and pesticides (41.2%) for the elderly. Mortality was 2.7% in the adult group and 14.6% in the elderly group. After adjusting for all factors related to mortality, the odds ratio (OR) of mortality was 2.63 in the elderly group (95% confidence interval [CI]: 1.44-4.81).
Conclusion: There were definite differences in the characteristics of three groups. The younger patients used drugs that could be easily obtained while older patients used more lethal drugs.
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